EFTA Document EFTA01355812

IV. TAX ELECTI0WDECLARATI0N OF TAX STATUS This Account Agreement is designed for use by both U.S. Persons and Non-U.S. Persons. Please check the box next to the applicable tern below. ent certifies that Client will notify DBSI in writing Immediately it the representation certified to below ceases to be two and correct. 1.O U.S. Citizen or U.S. Resident Alien Form W9 __Seuent for Teexpayer ldentikcation Number and Certification Subititute ThThep Vle tin t" N qYVA.Inr I nX 1-1-1. Part N